Science
Mapping mHealth Research: A Decade of Evolution
Fiordelli M et al, J Med Internet Res, 15(5)
BACKGROUND:
For the last decade, mHealth has constantly expanded as a part of eHealth. Mobile applications for health have the potential to target heterogeneous audiences and address specific needs in different situations, with diverse outcomes, and to complement highly developed health care technologies. The market is rapidly evolving, making countless new mobile technologies potentially available to the health care system; however, systematic research on the impact of these technologies on health outcomes remains scarce.
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24 May 2013 | No Comments »
Categories: Science | Tags: literature, mHealth
Completeness and diagnostic validity of recording acute myocardial infarction events in primary care, hospital care, disease registry, and national mortality records: cohort study
Herrett E et al, BMJ, 346
Objective
To determine the completeness and diagnostic validity of myocardial infarction recording across four national health record sources in primary care, hospital care, a disease registry, and mortality register.
Design
Cohort study.
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22 May 2013 | No Comments »
Categories: Science, UK EHR | Country: UK | EHR: EHR, EHR UK | Tags: Cardiology
Guest editorial: compelling issues in telemedicine
Bashshur RL. Telemedicine journal and e-health, 19(5)
Recent and impendent changes resulting from the Health Information Technology for Economic and Clinical Health Act (HITECH) (part of Title XIII of the American Recovery and Reinvestment Act) of 2009 and the Patient Protection and Affordable Care Act (ACA) of 2011 offer unprecedented potential for telemedicine to play a significant role not only in reforming the current U.S. healthcare system but also in shaping innovative health systems of the future.
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7 May 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: ACO, e-Health, phr, Telemedicine
Patient access to complex chronic disease records on the Internet
Bartlett C et al, BMC Medical Informatics and Decision Making, 12(1)
Background
Access to medical records on the Internet has been reported to be acceptable and popular with patients, although most published evaluations have been of primary care or office-based practice. We tested the feasibility and acceptability of making unscreened results and data from a complex chronic disease pathway (renal medicine) available to patients over the Internet in a project involving more than half of renal units in the UK.
Methods
Content and presentation of the Renal PatientView (RPV) system was developed with patient groups. It was designed to receive information from multiple local information systems and to require minimal extra work in units. After piloting in 4 centres in 2005 it was made available more widely. Opinions were sought from both patients who enrolled and from those who did not in a paper survey, and from staff in an electronic survey. Anonymous data on enrolments and usage were extracted from the webserver.
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15 April 2013 | No Comments »
Categories: Patients, RA Research, Record Access, Science | Country: UK | EHR: EHR, EHR USA | Tags: Access, Chronic Diseases, Internet, Renal, Universal patient identifiers, XML
Pharmacovigilance Using Clinical Notes
LePendu P et al, Clinical Pharmacology & Therapeutics, 2013
With increasing adoption of electronic health records (EHRs), there is an opportunity to use the free-text portion of EHRs for pharmacovigilance. We present novel methods that annotate the unstructured clinical notes and transform them into a deidentified patient–feature matrix encoded using medical terminologies. We demonstrate the use of the resulting high-throughput data for detecting drug–adverse event associations and adverse events associated with drug–drug interactions.
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13 April 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Adverse Drug Reactions, Data Mining, Free text
Paper- and computer-based workarounds to electronic health record use at three benchmark institutions
Flanagan ME et al, J Am Med Inform Assoc, 2013
BACKGROUND:
Healthcare professionals develop workarounds rather than using electronic health record (EHR) systems. Understanding the reasons for workarounds is important to facilitate user-centered design and alignment between work context and available health information technology tools.
OBJECTIVE:
To examine both paper- and computer-based workarounds to the use of EHR systems in three benchmark institutions.
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9 April 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Primary Care
Workflow Central
Baldwin G. Health Data Management Magazine, 21(4)
A little over a year ago, Deaconess Health System in Evansville, Ind., obtained a lofty perch on the digital health I.T. rung-the six-hospital system was named as a HIMSS Stage 7 organization, representing the pinnacle of electronic health record accomplishments.
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8 April 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: document-management, HL7, Hospitals, Legal, Paper Conversion, Workflow
Crossing the omic chasm: A time for omic ancillary systems
Starren J ET AL, Jama, 309(12)
Despite the information gains from genome-wide association studies and next-generation sequencing (NGS), there remains a chasm between this scientific knowledge and daily clinical practice. Leveraging recent advances in genomics to improve patient care will require electronic health record (EHR) systems that incorporate genomic clinical decision support (CDS).
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4 April 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR USA | Tags: Big Data, Genomics
Patient Experiences With Full Electronic Access to Health Records and Clinical Notes Through the My HealtheVet Personal Health Record Pilot: Qualitative Study
Woods SS et al, J. Med. Internet Res., 15(3)
BACKGROUND:
Full sharing of the electronic health record with patients has been identified as an important opportunity to engage patients in their health and health care. The My HealtheVet Pilot, the initial personal health record of the US Department of Veterans Affairs, allowed patients and their delegates to view and download content in their electronic health record, including clinical notes, laboratory tests, and imaging reports.
OBJECTIVE:
A qualitative study with purposeful sampling sought to examine patients’ views and experiences with reading their health records, including their clinical notes, online.
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4 April 2013 | No Comments »
Categories: Patients, Record Access, Science | Country: United States | EHR: EHR USA | Tags: Access, e-Health, Patient, phr
Iproving the electronic health record—are clinicians getting what they wished for?
Cimino JJ, JAMA, 309(10)
Pleas for improvement in patient health records date back to Florence Nightingale and have persisted well into the 21st century. Computer-based records, currently referred to as electronic health records (EHRs), have been proposed as a means for improving availability, legibility, and completeness of patient information.
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15 March 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Adoption, Physicians
Putting health it on the path to success
Yasnoff WA et al, JAMA, 309(10)
The promise of health information technology (HIT) is comprehensive electronic patient records when and where needed, leading to improved quality of care at reduced cost. However, physician experience and other available evidence suggest that this promise is largely unfulfilled.
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14 March 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Health Information Exchange, Health Information Technology
A survey analysis suggests that electronic health records will yield revenue gains for some practices and losses for many
Adler-Milstein J et al, Health Affairs, 32(3)
Health care providers remain uncertain about how they will fare financially if they adopt electronic health record (EHR) systems. We used survey data from forty-nine community practices in a large EHR pilot, the Massachusetts eHealth Collaborative, to project five-year returns on investment. We found that the average physician would lose $43,743 over five years; just 27 percent of practices would have achieved a positive return on investment; and only an additional 14 percent of practices would have come out ahead had they received the $44,000 federal meaningful-use incentive.
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6 March 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA
Pharmacist-conducted medication reconciliation at hospital admission using information technology in Taiwan
Lee Y-Y et al,
Objectives
Obtaining an accurate medication history upon admission to the hospital can be challenging and time-consuming. This study evaluated the efficacy of a medication reconciliation program, conducted by pharmacists, with the assistance of medication usage data from the Taiwan National Health Insurance (NHI). Characteristics of patients at high risk for drug discrepancies were also determined.
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5 March 2013 | No Comments »
Categories: Science | Country: Taiwan | Tags: Health Information Technology, Medication
Information overload and missed test results in electronic health record–based settings
Singh H et al, JAMA internal medicine, 2013
Electronic health record (EHR)-based alerts are often used to notify practitioners of abnormal test results, but follow-up failures (missed results) continue to occur in outpatient settings. In the Department of Veterans Affairs (VA), abnormal test result alerts are generated automatically for prespecified abnormal laboratory values or manually by the interpreting radiologist when an unexpected finding is noted.
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5 March 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Alert/Reminder, Primary Care
Types and Origins of Diagnostic Errors in Primary Care Settings
Singh H et al, JAMA internal medicine, 2013
IMPORTANCE
Diagnostic errors are an understudied aspect of ambulatory patient safety.
OBJECTIVES
To determine the types of diseases missed and the diagnostic processes involved in cases of confirmed diagnostic errors in primary care settings and to determine whether record reviews could shed light on potential contributory factors to inform future interventions.
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28 February 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Ambulatory Care, Diagnostic Errors, Patient Safety
If We Offer it, Will They Accept? Factors Affecting Patient Use Intentions of Personal Health Records and Secure Messaging
Agarwal R et al, Journal of medical Internet research, 15(2)
Background:
Personal health records (PHRs) are an important tool for empowering patients and stimulating health action. To date, the volitional adoption of publicly available PHRs by consumers has been low. This may be partly due to patient concerns about issues such as data security, accuracy of the clinical information stored in the PHR, and challenges with keeping the information updated. One potential solution to mitigate concerns about security, accuracy, and updating of information that may accelerate technology adoption is the provision of PHRs by employers where the PHR is pre-populated with patients’ health data. Increasingly, employers and payers are offering this technology to employees as a mechanism for greater patient engagement in health and well-being.
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27 February 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Oncology, phr
Early Results of the Meaningful Use Program for Electronic Health Records
Wright A et al, New England Journal of Medicine, 368(8)
In 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act established Medicare and Medicaid incentive programs to encourage the adoption of electronic health records (EHRs) by hospitals and eligible professionals.
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21 February 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Meaningful Use
Scaling Up mHealth: Where Is the Evidence?
Tomlinson M et al, PLoS Med, 10(2)
Mark Tomlinson and colleagues question whether there is sufficient evidence on implementation and effectiveness to match the wide enthusiasm for mHealth interventions, and propose a global strategy to determine needed evidence to support mHealth scale-up.
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13 February 2013 | No Comments »
Categories: Science | Tags: mHealth
The Disparity Information and Communication Technology for Developing Countries has in the Delivery of Healthcare Information
Chhanabhai PN, Holt A. The open medical informatics journal, 4
Information and Communication Technologies (ICT) have merged into the world of healthcare slowly but surely. However, the marriage between the use of technology and its full impact in the health sector has not been fully realised. The focus of this paper is to highlight the impact of ICT on revolutionising access to healthcare information and thus quality of health for populations of the developing world.
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8 February 2013 | No Comments »
Categories: Science | Tags: Developing Countries, Digital Divide, Health 2.0
Use of Health IT for Higher-Value Critical Care
Chen LM et al, New England Journal of Medicine, 2013
The patient had not yet coded but was spiraling downward, prompting a request for a bed in the intensive care unit (ICU). But the ICU had no available beds. Hours passed before the decision was made that another patient could safely be “bumped” out of the unit to accommodate our patient.
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1 February 2013 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tags: Critical Care, Health Information Technology, Hospitals, Intensive care unit, Meaningful Use
